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B-2017-1122CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1122 1642 S STELLING RD CUPERTINO, CA 95014-5232 (366 24 045) WESTSHORE ROOFING INC SAN JOSE, CA 95131 OWNER'S NAME: CHIANG STEVE AND YUCHEN OWNER'S PHONE: 408-868-8043 LICENSED CONTRACTOR'S DECLARATION License Class QM- Lic. #787221 Contractor WESTSHORE ROOFING INC Date 11/30/2018 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: t. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �{ I have and will maintain Worker's Compensation Insurance, as provided for by 'v Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per he-Cu-rtino Municipal Code, Section 9.18. Signature,��' Date 7/12/2017 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sce.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: t. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 7/12/2017 DATE ISSUED: 07/12/2017 PHONE NO: (408) 456-0200 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL DESCRIPTION: SOF; TEAR OFF; INSTALL OSB; COMP SHINGLES (19 SQ) Sq. Ft Floor Area: I Valuation: $19000.00 APN Number: Occupancy Type: 36624 045 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Avende Date: 07/12/2017 RE -ROOFS: All roofs shall be inspected prior to any roofmg material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for Signature of Applicant: Date: 7/12/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 5533, and 25534. Owner or authorized age Date: 7/12/2017 CO STRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin-g(aa)cupertino.ong 3.?-c1'�7_ X122 PROJECTADDRESS /� t API\ �j _�-?U, 04/ ; OWNER NAME 54f Ve- /' I_ /M K / PHO�� STREET ADDRESS lb Z �• I I ► n CITC STATE, 4I'VI 0 ! (/ FAX CONTACT NAME vv le I HO -0Z s- E-MAIL STREET ADDRESS r CITY, STATE, ZIP I FAX ❑ OWN'ER ❑ OWKER-BUII.DER ❑ OR'.NERAGEI`T ❑ CONTRACTOR AON'TRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ Dn'ELOPER ❑ TENANT CONTRACTOR N.A.ME U t.I w l e LICENSE N'LT4BER /�--� �` LICENSE 77 � BUS. LIC.: / kil COMPANY NAME _, l� � D n E-?`:4IL� F�B az 3 STREET ADD S - � Vt N.G CJ,(� CITY. TATE; ZIP S / oln J pit Gir925-131 iVl ARCFIITECT/E-NGINEER NAME LICENSE NUMBER BUS, I.IC. r COI, PA ,7f NAME E-14AIL FAX 1 STREET ADDRESS CITY. STATE, ZIP PHONE USE OF SFU Or Duplex ❑ Multi Family ROOF ARE VALUATION: STRUCTURE: Commercial / e EXISTING ROOF TYPE: ❑ BUILT -LIP ROOF ❑ A�SPjHAL�T SFII*iGLESWOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) - REMOVE,REPLACE .YES IF NO, FI'llVOOD �'h" ❑ PL]WD OSB PITCH: ROOF ❑ NO : LAYERS: I THICKNESS: ❑ i%8" TYPE: ' 12 CLASS A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ASPH4LT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT DESCRIPTION OF WORK: � f' �f �'U�Gi �� • � " �" ReroofApp_2011.doc revised 03'16/11 iq CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildino cupertino.ora PROJECT ADDRESS v/ f S �,6 /I/ d APN # i { _ (w (1, 0I j 0 WNTER NAA4E5 d � /� 1 � P ?\ � 2 _ E-MAIL STREET ADDRESS Z n CITY, STATE, ZIPf Y- ' n 0 Cts O III FAX CONTRACTOR NAME �i, Q w �� "I LICENSE NUMBER LICENSE TYPE C_ C -39 BUS. LIC. # ( COMPANYN.AME 1 , 45Jshare 2�c�'Iltn I IqC E-iCMLs ho✓1eCoa j� ® W f , .rom FAX a- S6-oz3 STREET AD 2Z ` V - LI c -{v4 we p f . CITY, STATE, ZIP c4 -i v e- c4- S PHONE d'k L15 6 -vi, oa I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2016 California Codes. 2. An inspection request can be scheduled up to one business day before the requested inspection date. To schedule inspections call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30-2:30pm (Friday) to schedule inspection. For Tear -Off and Nailing Inspections, you must also call on the day of the inspection only after that phase of the work is completed. The building inspector will be out to the job site within one hour. The hours for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs) and 7:30-10:30am and 12:30-2:30 (Friday). Final Inspections will be given a two hour window. 3. Tear -Off Inspection is required. Any and all dry -rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either completely knocked -down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 6. A Final Inspection and approval shall be obtained from the building inspector when the re -roofing is completed. To receive a final sign -off, the following items will be verified: a. Flat roofs shall have a minimum of I/" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre -manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 7. NOTE: If you call for a tear -off or plywood nailing inspection and the work is not complete, you will be charged a re -inspection fee. The re -inspection fee shall be paid before another inspection can be scheduled. By my signing belo« , I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I also understand that smoke detectors and carbon monoxide d required to be installed in accordance with Sections R314 and R315 of the 2016 Califonlia Residential C Signature of Applicant/Agent: Date: 2/ 101� jell ReroofPolicv 2014. doc revised 06/0117 CUPERTINO Owner Name 'Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCa)cupertino.org �i C Lip v, C 111 a h 9 Permit No. 2 —2-01 Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? , ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: I� No Go to Question 2. Date: 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or it's'' plumbing, installation of water -conserving plumbing fixtures is not technically feasible?' ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑' The licensedplumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner's Signature: No Go to Question 3. Date: 3. Is water service"permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the forrn. Owner' Signature: �. No Go to Question 4. Date: 4. Is your real property built and .available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: f Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 110 1. 8 apply. Refer to the attached. 9, My property is a single family residential real property. See Civil Code Section 1101..4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, ,:'2017, all non-compliant'plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after'January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My properly is'a conunercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB407 2014. doc revised 03/18/14 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not requirea to be upgraded. SB407 2015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3.2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 (Flow Rate Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 - 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one showed, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi ' 1.8 gallons per. minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute; l.& .gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means. may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not requirea to be upgraded. SB407 2015.doc revised 08/26/15 G'UPERTtNO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building (a)cupertino.org PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling unitsj'exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each'. separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of adwelling unit including basements X X Within each sleeping room' X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an,attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery' operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4, and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the'alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address: I (A- )_ C qS_OtPermit No..B—'Zo17-1/2_2 Specify Number of Alarms: # Smoke Alarms: FT71 # Carbon Monoxide Detectors: I 1 I have read and agree to comply with the Germs and conditions of this statement Owner (or.Owner Agent's) Name: 1 Signature. Date:?/(V/ [ 1 .... Contractor Name: Signature.................................................................. Lic.#...................................... Date: Smoke and CO foim.doc revised 09/27/16